SUB ARACHNOID HEMORRHAGE IN A CHRONIC ITP CASE WITH NSAID USE

Dr. Shaik k john mohammad Alisha; Dr. Repudi chandrasekhara rao; Dr. Anurupa popuri

Volume : VIII, Issue : III, March - 2019

SUB ARACHNOID HEMORRHAGE IN A CHRONIC ITP CASE WITH NSAID USE

Dr. Shaik K John Mohammad Alisha, Dr. Repudi Chandrasekhara Rao, Dr. Anurupa Popuri

Abstract :

Spontaneous intracranial haemorrhage (ICH) is a rare complication of chronic immune thrombocytopenic purpura (ITP) in children. We report a case with cITP who developed ICH. The latency between onset of ITP and ICH varied from 1–8 years. The patient was profoundly thrombocytopenic (platelet count of <10 x 109/l) at the time of their intracranial bleed. The presenting features and management are discussed. Cranial computed tomographic scan (CT scan) of ain showed subarachnoid haemorrhage along the falx and tentorium on right side. She was treated with intravenous immunoglobulin (IVIG), methylprednisolone and platelet support The patient survived, had complete neurological recovery. There was usage of NSAIDS before the onset of SAH in another hospital which may have contributed to the SAH in the child